For him, "mental health is deteriorating," and he sees no solution "without a radical change" in the country. The Mental Health Crisis in CubaThese personal stories are part of a documented trend of declining mental health in Cuba. Tania Peón, director of Mental Health in Havana, warns that much of the population lives in a constant state of "alert." Sociologist Elaine Acosta describes this as a "mental health epidemic" fueled by economic hardship, food scarcity, and limited access to psychiatric care. A year later, the director of Mental Health in Havana confirms that this trend has not been reversed.